C3.2 R4(b): Accurately transcribe a medication order onto the medication profile or health record #1

ID: 11 month old female (13.3kg) admitted to pediatrics ward for pneumonia

Orders for dimenhydrinate were completed on an adult admission PPO and entered as:

  • Dimenhydrinate 12.5mg PO Q6H PRN – oral tablets
  • Dimenhydrinate 12.5mg PR Q6H PRN – 1/4 of adult gravol suppositories (50mg)
  • Dimenhydrinate 12.5mg IV Q6H PRN – 10mg/mL solution

(1) Verified that the doses above are appropriate for her age and weight with C&W formulary
(2) Cancelled the above orders and entered the medication orders as following:

  • Dimenhydrinate 12.5mg PO Q6H PRN
    • Filled as 10mg/mL solution as 11 month old unable to swallow tablets
  • Dimenhydrinate 12.5mg PR Q6H PRN
    • Filled as 1/2 of pediatric gravol suppositories (25mg) as also available as wardstock on pediatric ward
  • Dimenhydrinate 12.5mg IV Q6H PRN
    • Filled as 50mg/mL amp
    • LM is the only site that stocks 10mg/mL solution – but when entering, charge type: WS but is coming from LM
    • Pediatric PDTM was made off the pediatric profile on the Alaris IV pump; therefore, the solution that needs to be used is the 50mg/mL amp

FYI, as per pediatric PDTM:

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Reflection:

  • For pediatric patients, make sure that there is a weight provided
  • Consider the formulations and whether it is appropriate for the population you are dispensing it to
  • Check *Order Type (e.g. MED vs. MEDM), *Inventory (e.g. LM vs. LM-WARD), *Charge Type (e.g. WS) and see if they match up accordingly. Investigate if not.
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